| NPI | 1487366845 |
|---|---|
| Doing Business As | DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | ANA V GALLARDO Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |